Bluegrass Gastroenterology, Psc

LBN: Bluegrass Gastroenterology, Psc
Bluegrass Gastroenterology, Psc is an health care organization with primary practice located at 225 Medical Center Dr Suite 307, Paducah KY 42003-7914. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Bluegrass Gastroenterology, Psc can be contacted via phone (270) 441-4701, or through Carter, Russell W via phone (270) 441-4701.

Contact Information

Primary practice address
225 Medical Center Dr Suite 307 Paducah KY 42003-7914
Phone: (270) 441-4701
Fax: (270) 441-4707
Website:
Map and Directions
Authorized official contact:
Name: Carter, Russell W Doctor of Osteopathy (DO)
Phone: (270) 441-4701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1770643561
LBN Legal business name Bluegrass Gastroenterology, Psc
DBA Doing business as
Authorized official Carter, Russell W Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Feb 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770643561 NPPES
Kentucky MEDICAID 65928459

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